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7.
American Academy of Pediatrics
American Academy of Pediatric
Dentistry
Recommendation:
Dental home by age 1

8.
ANTICIPATORY GUIDANCE –
What is it?
It is the process of providing practical, developmentally
appropriate health information about children to their parents
in anticipation of significant physical, emotional and
psychological milestones.
-Nowak and Casamassimo 1995

11.
Airway Space
• The pediatric dentist can be the first to identify
airway structure issues.
• Learn how to incorporate this knowledge and
develop a medical/dental team approach for the
developing child

36.
Radiographic Examination
Internal resorption
• once internal resorption has become advanced to
be seen radiographically there is usually a
perforation of the root by the resorptive process
Pathologic bone and root resorption
• Indicative of advanced pulp degeneration. The
pulp tissue may remain vital even with such
advanced degenerative changes.

69.
• The Training Mode provides
an audible explanation of the
various functions of the STA
• Allows one to become familiar
with operating the STA
• Enable Training Mode by
pressing and holding the
“Hold to Train” button for 4
seconds
Easy Learn: Training Mode
Step - 5

73.
Lesson 2
Performing STA-IL
Injection
• What you need to learn:
• How to use Cruise-control feature
• Understand how DPS® works
• How to use STA aspiration to prevent back-spray of anesthetic into patients
mouth

75.
Easy Learn: Cruise Control
• What is the Cruise Control
feature:
• The feature allows you to deliver anesthetic
solution without the need of continuously
depressing the foot pedal, it’s analogous to
cruise-control in your car in which you release
the accelerator and continue to drive.
• How do you activate:
1. Start injection by depressing pedal
2. After 3 seconds voice prompt will
say “Cruise”
3. Immediately release foot off pedal
to remain in cruise mode
• How do you de-activate:
• Tap foot-control pedal to stop
Step - 1

76.
Easy Learn: STA-IL Insertion Site
• Area effected:
• Single Tooth Anesthesia
• Injection site:
1. Start on distal
2. Bend needle, if necessary, to gain
access
3. It is best to maintain a direct view
of the needle and it’s entrance to
the sulcus at all times
4. It is important for the shaft of the
needle to be parallel with the
surface of the root
Step - 2

86.
Lesson 3
How to Perform AMSA-
Injection
• What you need to Learn:
• How to use Cruise-control feature
• How to perform Pre-Puncture Technique
• How to perform Anesthetic Pathway Technique
• How to use STA-aspiration to prevent back-spray of anesthetic
into patients mouth

87.
Easy Learn: AMSA Insertion Site
• Area effected:
• The AMSA can produce pulpal anesthesia
from the Central Incisor to the 2nd Premolar
and the associated hard and soft palatal
tissues.
• Injection site:
1. Imagine a line located between
the 1st and 2nd Premolar
2. Mid-way along an imaginary line
from the palatal suture to the free
gingival margin
3. Approach this site with the hand-
piece from the contra-lateral
premolars
 Bisect premolars
 Midway between the free
gingival margin and
mid-palatine suture
Step - 1

88.
Easy Learn: AMSA Insertion Site
• Injection site:
1. Imagine a line located between
the 1st and 2nd Premolar
2. Mid-way along an imaginary line
from the palatal suture to the free
gingival margin
3. Approach this site with the hand-
piece from the contra-lateral
premolars
Step - 1

90.
Lesson 4
Performing P-ASA Injection
• What you need to Learn:
• How to use Cruise-control feature
• How to perform Pre-Puncture Technique
• How to perform Anesthetic Pathway Technique
• How to use STA-aspiration to prevent back-spray of anesthetic
into patients mouth

92.
Easy Learn: P-ASA Insertion Site
• Area effected:
• The P-ASA can produce pulpal
anesthesia of the Central and
Lateral Incisors and the associated
hard and soft palatal tissues
• Injection site:
1. Entry point is the incisive groove
surrounding the incisive papilla
2. Final needle tip position is within
the incisive canal
Step - 1

96.
Lesson 5
Performing IA Block
Injection
• What you need to Learn:
• How to change to Normal Mode
• How to use Cruise-control feature
• How to perform Anesthetic Pathway Technique
• How to use Bi-Rotational Insertion Technique
• How to use STA-aspiration
• How to use 2 speed operation

99.
Easy Learn: 2-Speed Operation
Step - 1
1
2
• Using “Normal” mode 2-
speed operation:
• You can more effectively and efficiently
perform the IA Block using the 2-speeds
How to use:
1. Depressing the foot control lightly
allows you to start the injection using
the ControFlo (slower) flow rate – Use
for the first ¼ cartridge of IA Block
2. Depressing the foot control all the way
down allows the second, more rapid
rate to administer the remaining volume
of anesthetic

100.
Easy Learn: Aspiration
Step - 2
1
2
3
• Using Aspiration to prevent
intravascular needle
placement:
• You can prevent needle placement into a vessel
by use of aspiration
How to use:
• After completion of needle placement:
1. Press and then release foot-control
pedal to activate aspiration, which is six
beeps for the complete cycle
2. If you see blood in the needle hub, re-
position needle and re-aspirate until
negative observation

101.
Easy Learn: Anesthetic Pathway
• Anesthetic Pathway
technique:
• This technique allows you to penetrate and
advance the needle through the mucosa and
soft-tissues with minimal discomfort to the
patient.
• How to perform:
1. Penetrate mucosa
2. Advancement Pace: 1- 2 mm
then wait 4 seconds to allow
anesthetic to proceed needle
3. Advance needle until contact
against surface of bone

103.
Lesson 7
Performing Supraperiosteal/
Buccal Infiltration Injection
• What you need to Learn:
• How to change to Normal Mode
• How to use Cruise-control feature
• How to perform Anesthetic Pathway Technique
• How to use STA-aspiration
• How to use 2 speed operation

110.
DPS® - Dynamic Pressure Sensing
• Informs the Dentist of Correct Injection Site (PDL Space) with
Ascending Lights and Sounds
• Informs the Dentist if the Needle has Left the Correct Site
• Informs the Dentist if the Needle has been Blocked
• All Feedback Information in Real Time

111.
STA-IntraligamentaryInjection
Technique: DPS - Dynamic Pressure
Sensing
• Hold needle steadily in place with minimal
pressure for approximately 15 seconds
• Ascending tones and lights will indicate the
needle is in the correct injection site, the
periodontal ligament space
• If ascending tones and lights are not initiated
after 15 seconds, move needle slightly until
the correct position is attained and lights and
tones are seen and heard

130.
Dr. Bill’s Helpful Tips
• Avoid dripping the anesthetic in the mouth - the
bitter taste is the easiest way to lose a compliant
patient
• Develop a consistent pattern of injection site
(distolingual is best due to anatomy if
manageable)

131.
•Rule of 2’s for STA:
o20 seconds MAXIMUM time to be in one
location
o2 minute window to begin procedure
o20 minutes to complete treatment
• Watch the videos on the website…very helpful!
www.STAis4U.com
Dr. Bill’s Helpful Tips